Active NPI
Lisbet Vidal, O.D.
- Optometrist
- Hollywood, FL
National Provider Identifier
1235563040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4792
- Practice address
- 4330 Sheridan St Ste 102
Hollywood, FL 33021-1406 - Phone
- (954) 287-2010
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4792 | FL | Primary |
Addresses
Primary practice location
4330 Sheridan St Ste 102
Hollywood, FL 33021-1406
Mailing address
4330 Sheridan St Ste 102
Hollywood, FL 33021-1406
Phone (954) 287-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abita Eye Group LLC | Optometrist | Past | Accepting new patients |
| Stanley D Braverman MD LLC | Optometrist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- lisbet.abranteod@direct.araneyeassociates.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Braverman Eye Center
- Ophthalmology Physician
- Hollywood, FL
- NPI 1265586127
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1235563040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 SHERIDAN ST STE 102",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330211406",
"telephone_number": "954-287-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 SHERIDAN ST STE 102",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330211406",
"telephone_number": "954-287-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDAL",
"first_name": "LISBET",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.